Active NPI
Kourosh Khamooshian, MD
- Internal Medicine Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A110901
- Practice address
- 5565 Grossmont Center Dr Ste 444
La Mesa, CA 91942-3020 - Phone
- (888) 475-6662
- Fax
- (858) 408-3844
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A110901 | CA | |
| Internal Medicine Physician | 207R00000X | A110901 | CA | Primary |
Addresses
Primary practice location
5565 Grossmont Center Dr Ste 444
La Mesa, CA 91942-3020
Mailing address
5565 Grossmont Center Dr Ste 444
La Mesa, CA 91942-3020
Phone (858) 603-6576
Other practice location 1
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911 ext. 7790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W14158 | Other | CA | PTAN |
| DJ1227 | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053
5555 Reservoir Dr
Suite 303
San Diego, CA 92120-5181
Phone (858) 373-9616
7339 El Cajon Blvd
Suite I
La Mesa, CA 91942-7435
Phone (619) 629-0500
Hospital & facility affiliations
- Mission Home Health of San Diego LLC
- Advantage Health Systems
- A Better Solution in Home Care
- Gentiva
- Eisenhower Medical Center
- Grossmont Hospital
- Sharp Memorial Hospital
- John F Kennedy Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110901 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisenhower Medical Center | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Lodi Memorial Hospital Association Inc | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Healthcare Crossing Corporation | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Lodi Memorial Hospital Association, Inc | Current | Accepting new patients | |
| Kourosh Khamooshian MD, PC | Current | Accepting new patients | |
| San Diego Critical Care Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
| Hospitalist Medicine Physicians of Imperial County, Inc.. | Internal Medicine | Past | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
5565 Grossmont Center Dr
Ste 444
La Mesa, CA 91942
Phone (619) 784-1060
5565 Grossmont Center Dr
Ste 229
La Mesa, CA 91942
Phone (619) 280-3500
5565 Grossmont Center Dr
Ste 3
La Mesa, CA 91942
Phone (619) 465-3443
5565 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 461-3150
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
14677 Via Bettona
Ste 110
San Diego, CA 92127
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAHJBA/Endpoint/DAHJBA
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Family Medicine Physician
- Barstow, CA
- NPI 1740588391
-
- Community Health Clinic/Center
- La Mesa, CA
- NPI 1194079632
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Internal Medicine Physician
- Murrieta, CA
- NPI 1518953298
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Primary Care Clinic/Center
- Lodi, CA
- NPI 1861649352
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1770725897
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1215977723
-
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1629384615
-
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Diego, CA
- NPI 1538225313
-
- Home Health Agency
- San Diego, CA
- NPI 1588053177
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- Home Health Agency
- San Diego, CA
- NPI 1063726628
-
- Community Based Hospice Care Agency
- Palm Desert, CA
- NPI 1043211931
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1659523975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 GROSSMONT CENTER DR STE 444",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423020",
"telephone_number": "858-603-6576",
"fax_number": "858-408-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 GROSSMONT CENTER DR STE 444",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423020",
"telephone_number": "888-475-6662",
"fax_number": "858-408-3844"
}
],
"practiceLocations": [
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-340-3911 x7790",
"fax_number": "760-837-8956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAMOOSHIAN",
"first_name": "KOUROSH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-17",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A110901",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A110901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "W14158",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DJ1227",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.